s 13th World Congress for Disaster and Emergency Medicine S77 Prehospital Care in Rural Settings AttilaJ. Hertelendy, BHsc, CCEMT-P, NREMT-P University of Mississippi Medical Center, USA Oxford, Mississippi USA The delivery of prehospital care in a rural setting requires a conceptual framework quite different from that required in urban and suburban environments, given that available resources ...

Prehospital Intubation: Further Confounders in Trial Results Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein To cite this article: Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein (2018): Prehospital Intubation: Further Confounders in Trial Results, Prehospital Emergency Care...

The National Association of EMS Physicians (NAEMSP) believes that the relief of pain and suffering of patients must be a priority for every emergency medical services (EMS) system. Adequate analgesia is an important step in achieving this goal. NAEMSP believes that every EMS system should have a clinical care protocol to address prehospital pain management. Adequate training and education of pr...

Since their introduction over 40 years ago, paramedics have been trained to deliver select advanced life support interventions in the community with the goal of reducing morbidity and mortality from cardiovascular disease and trauma. The ensuing decades witnessed a great deal of interest in paramedic care, with an exponential growth in prehospital resuscitation research. As part of the CJEM ser...

Emergency medical services (EMS) systems, and prehospital care are difficult to evaluate. Accordingly, the true efficacy and value of such systems are difficult to determine. The multitude of variations and combinations of involved factors makes standardisation and comparison difficult, and universal indicators are hard to develop. Various attempts have been made to determine valid indicators o...

The diagnosis and treatment of dyspnea in the emergency department and in the prehospital setting is a challenge faced by the emergency physician and other prehospital care providers. While the use of lung ultrasound as a diagnostic tool in dyspneic patients has been well researched, there has been limited evaluation of its use in the prehospital setting. In the previous issue of Critical Care,...

The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment of these services, there is an acute need for standardization of education and quality assurance regarding prehospital care provided. The International Joint W...

BACKGROUND Identification of critically ill patients during prehospital care could facilitate early treatment and aid in the regionalization of critical care. Tools to consistently identify those in the field with or at higher risk of developing critical illness do not exist. We sought to validate a prehospital critical illness risk score that uses objective clinical variables in a contemporary...

retains a physician medical consultant to oversee clinical aspects of the system including the Rhode Island Prehospital Care Protocols and Standing Orders. The most unique characteristic of Rhode Island emergency medical services is the absence of a mandate requiring individual agencies to have a medical director. While the most visible component of the system is the nearly 400 licensed ambulan...

Trauma remains the leading cause of death in adults worldwide,1 and a significant portion of those deaths occur within the first 6 to 24 hours after initial injury secondary to hemorrhage.2,3 The evolution of modern-day trauma care has witnessed revolutionary changes over the past century, with lessons learned from war providing the primary stimulus. Major advances in surgical vascular procedur...